Individual provider Active NPI

Bose Devassy Cheeran, MD

  • Interventional Cardiology Physician
  • Lafayette, LA
National Provider Identifier
1649448598
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
205318 Issued in LA
Practice address
441 Heymann Blvd
Lafayette, LA 70503-2611
Phone
(337) 289-8429
Fax
(337) 289-8431
NPI assigned
Feb 13, 2008
Last updated
May 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 205318 LA
Interventional Cardiology Physician 207RI0011X 205318 LA Primary

Addresses

Primary practice location

441 Heymann Blvd
Lafayette, LA 70503-2611

Mailing address

441 Heymann Blvd
Lafayette, LA 70503-2611
Phone (337) 289-8429

Other practice location 1

1451 E Bridge St
Breaux Bridge, LA 70517-3405
Phone (337) 332-2210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120724000442 LA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6204989551 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians
Lsuhn Billing LLCGroup PAC ID 0446337802, 203 clinicians
Cardiovascular Institute of the South, LLCGroup PAC ID 3779497441, 145 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

1216 Camellia Blvd
Lafayette, LA 70508-6667
Phone (337) 769-0069

1305 Crowley Rayne Hwy
Crowley, LA 70526-8202
Phone (337) 783-3222

1305 Crowley Rayne Hwy Acadia General
Cca at Acadia General Hospital
Crowley, LA 70526-8202
Phone (337) 788-6545

1634 Elton Rd
Jennings, LA 70546-3614
Phone (337) 612-7032

2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000

441 Heymann Blvd
Lafayette, LA 70503-2611
Phone (337) 289-8429

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting21
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
205318LAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette General Medical Center Inc. CurrentSince Jan 1, 2021 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Oct 1, 2022 Accepting new patients
Lsuhn Billing LLC CurrentSince Jul 1, 2021 Accepting new patients
St. Martin Hospital, Inc. Cardiovascular Disease CurrentSince Feb 9, 2021 Accepting new patients
St. Martin Hospital, Inc. CurrentSince Feb 9, 2021 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Iberia Medical Center Physician Practice Network Current Accepting new patients
Lafayette General Medical Center Inc CurrentSince Jan 1, 2021 Accepting new patients
Ochsner American Legion Hospital LLC CurrentSince Dec 26, 2024 Accepting new patients
Lafayette General Medical Center Inc. Cardiovascular Disease Current Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Oct 1, 2022 Accepting new patients
Hospital Service District No. 1 of Iberia Parish CurrentSince Nov 1, 2019 Accepting new patients
Ochsner American Legion Hospital LLC Current Accepting new patients
Cardiovascular Institute of the South, LLC Cardiovascular Disease CurrentSince Mar 18, 2020 Accepting new patients
Hospital Service District No 1 of Iberia Parish CurrentSince Nov 1, 2019 Accepting new patients
Lsuhn Billing LLC CurrentSince Jul 1, 2021 Accepting new patients
University Group Medical Associates, P.C Past Accepting new patients

Locations

1451 E Bridge St
Breaux Bridge, LA 70517
Phone (337) 322-2210

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

3256 Highway 190
Ste B
Eunice, LA 70535
Phone (337) 550-3740

1901 Manhattan Blvd
Ste A200
Harvey, LA 70058
Phone (504) 354-5252

225 Dunn St
Houma, LA 70360
Phone (985) 446-2021

1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

441 Heymann Blvd
Lafayette, LA 70503
Phone (337) 289-8429

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

500 N Lewis St
Ste 100
New Iberia, LA 70563
Phone (337) 367-5200

600 N Lewis St
New Iberia, LA 70563
Phone (337) 365-7311

Interoperability endpoints

  • Direct secure messaging: bcheeran1443525@direct.ochsner.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/ibermed-05842f36

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1649448598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032611",
            "telephone_number": "337-289-8429",
            "fax_number": "337-289-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032611",
            "telephone_number": "337-289-8429",
            "fax_number": "337-289-8431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1451 E Bridge St",
            "address_purpose": "LOCATION",
            "city": "Breaux Bridge",
            "state": "LA",
            "postal_code": "705173405",
            "country_code": "US",
            "telephone_number": "337-332-2210",
            "fax_number": "337-332-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEERAN",
        "first_name": "BOSE",
        "middle_name": "DEVASSY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-13",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "205318",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "205318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.